KENNETH GROSS (NPI# 1205357886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205357886 |
| Entity Type | Individual |
| Full Name | KENNETH GROSS |
| Credential | MD |
| Practice Address |
777 S Broad St Apt 412 Philadelphia PA 19147-2509 |
| Practice Telephone | 3057736137 |
| Mailing Telephone | 3057736137 |
| Enumeration Date | 2017-07-04 |
| Last Update Date | 2020-10-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
MD459094 | PA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 719 W Girard Ave Fl 2, Philadelphia, PA 191231322 | 2155463503 | 2155467977 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528587433 | Kenneth Gross | Counselor | 22765 Westheimer Pkwy, Katy, TX 77450-8675 | 2017-09-12 |
| 1740488709 | Kenneth M Gross | Chiropractor | 293 Passaic St, Passaic, NJ 07055-5803 | 2007-07-10 |
| 1104865898 | Kenneth Gary Gross | Dermatology | 5222 Balboa Ave, Sixth Floor, San Diego, CA 92117-6904 | 2006-06-06 |
| 1831155969 | Kenneth M Gross | Internal Medicine | 904 7th Ave, Seattle, WA 98104-1132 | 2006-04-26 |
| 1730155938 | Kenneth P Gross | Anesthesiology | 2900 S 70th St Ste 450, Lincoln, NE 68506-3796 | 2006-02-27 |
| Street Address |
777 S BROAD ST APT 412 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19147-2509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508336181 | Jamica Cropper-pam | Counselor | 401 S 2nd St. Suite 301, Philadelphia, PA 19147 | 2018-11-27 |
| 1598234411 | Halina Dziewolska | Behavioral Analyst | 535 Queen Street, Philadelphia, PA 19147 | 2018-11-20 |
| 1972072908 | City Dental LLC | Clinic/Center | 1100 Washington Ave 2nd Floor, Philadelphia, PA 19147 | 2018-11-20 |
| 1487120218 | Christopher Michael Rosado | Behavioral Analyst | 1218-20 South 8th St, 1, Philadelphia, PA 19147 | 2018-10-19 |
| 1891271722 | Candice Millard | Dietitian, Registered | 419 S 8th St Apt 1b, Philadelphia, PA 19147 | 2018-07-13 |
| 1669998217 | Julianne Leonarda Wiebalk | Counselor | 814 South 4th Street, 1st Floor, Philadelphia, PA 19147 | 2017-08-16 |
| 1396269247 | Sara Parente | Social Worker | 1217 Fitzwater St., Unit A, Philadelphia, PA 19147 | 2017-08-02 |
| 1609398445 | Nikele Riek | Social Worker | 1348 Bainbridge Street, Philadelphia, PA 19147 | 2017-07-13 |
| 1023556875 | Bralow Medical Group | General Practice | 834 South St., Philadelphia, PA 19147 | 2017-02-01 |
| 1194196105 | Ann Courto | Dietitian, Registered | 1140 Cross Street, Philadelphia, PA 19147 | 2015-10-16 |
| Find all providers in zip 19147 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972060176 | Ncv Diagnostics LLC | Psychiatry & Neurology | 1 Brown St Ste C, Philadelphia, PA 19123-3361 | 2019-02-23 |
| 1982102133 | Sonia Anand-nichols Md PC | Psychiatry & Neurology | 5735 Ridge Ave Ste 101, Philadelphia, PA 19128-1746 | 2018-01-23 |
| 1417339409 | Leonel Jorge Favio Estofan | Psychiatry & Neurology | 245 N 15th St, 7th Floor, Philadelphia, PA 19102-1200 | 2015-06-25 |
| 1073900700 | Pavan Anil Vaswani | Psychiatry & Neurology | 330 S 9th St Fl 3, Philadelphia, PA 19107-6103 | 2015-04-21 |
| 1942613369 | Mia Chwan Ko | Psychiatry & Neurology | 5401 Old York Rd Ste 404, Philadelphia, PA 19141-3046 | 2014-06-03 |
| 1912340415 | Simy Kabaria Parikh | Psychiatry & Neurology | 900 Walnut St Ste 200, Philadelphia, PA 19107-5191 | 2013-04-15 |
| 1215295118 | Curtis Brandon Allumbaugh | Psychiatry & Neurology | 833 Chestnut St Ste 220, Philadelphia, PA 19107 | 2012-04-27 |
| 1013201870 | Enrique Aradillas Lopez | Psychiatry & Neurology | 1200 Constitution Ave Ste 110, Philadelphia, PA 19112-1323 | 2011-06-08 |
| 1598076358 | Hristelina S. Ilieva | Psychiatry & Neurology | 909 Walnut Street 2nd Floor, Philadelphia, PA 19107-3342 | 2010-06-27 |
| 1104146364 | Laura Marie Scorr | Psychiatry & Neurology | 111 S 11th St Ste 2170, Philadelphia, PA 19107-4824 | 2010-06-09 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19147 |
Please comment or provide details below to improve the information on KENNETH GROSS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.